Network Rail are now producing ‘Lessons Learnt’ publications following events which have led to Formal investigations or local investigations where significant points of learning have resulted.
We believe these lessons will be of value for all involved in the industry and not just safety professionals, they are ultimately designed to aid prevention of events of a similar nature happening again elsewhere.
Network Rail’s National Recommendations Review Panel (NRRP) routinely reviews reports and now identifies where the industry would benefit from sharing the lessons learnt. If you are leading an investigation and believe the industry would benefit from a lessons learnt document please make your DCP aware and if agreed appropriate send your draft to the Network Rail Infrastructure Projects (IP) Safety and Sustainable Development team or the Corporate Investigation Manager for review.
Lessons learnt documentation
- 002-BGW-Scaffolding
- 005-Farringdon-Lessons-Learnt–3-
- Clarborough Lesson learnt v2
- GSM-R Project v4 120709
- Hammer-Accident-Lessons-Learnt
- Lessons Learnt – Ash Road a
- Lessons Learnt – imberhorne bridge
- Lessons Learnt Donington derailment 10 Jan 2013v3
- Lessons Learnt -Gatwick 750VDC ETE Cable
- Lessons Learnt NRRP11 LOWS Near Miss Whitmore
- Lessons Learnt NRRP12 Feeder station isolation irregularity Milton Fen
- Lessons Learnt NRRP13 Newark Northgate Staff Fatality
- Lessons Learnt Pandrol clip displacement Mansfield Woodhouse 14 Oct 2013 NRRP 10
- Movement of Material guidance
- NRL 15_02 Shared Learning – Removal of level crossing gates during construction works
- NRL14_01 Shared Learning – Liverpool Street derailment
- Shared Learning NRL 15_03 – Embankment failure caused by construction activity affects safety of the line
- Shared Learning NRL 15_04 – Train struck and damaged by location cabinet door within tunnel
- Shared Learning NRL 15_05 – Saxilby – Three Years On
- Shared Learning NRL14_02 Stafford staff electric shock
- Shared Learning NRL14_04 designing and installing chemical anchors
- Shared Learning NRL14_05 liaison with injured staff relatives
- Shared Learning NRL15_01 unidentified twist fault following an embankment slip at stonegate
- Visio-Lessons Learnt – Lookout Struck by Train
- VisioLessons Learnt Staff Fatality COSSSite Warden Struck by 2P67nr Saxilby 041212
- Near Miss Newtown video – shown below
For more details please contact Mick O’Brien. Mick.O’brien@networkrail.co.uk
Thameslink programme lessons learnt
- TLP001 – BDU Severe Burns
- TLP002 – GRP Tower
- TLP003 – Forklift
- TLP004 – Electrical flashover
- TLP005 – Scaffold Fitting
- TLP006 – High Winds
- TLP007 – Piling Operations
- TLP008 – Lifting Eye
- TLP009 – Spigot Failue
- TLP010 – Piling Mat
- TLP011 – Disc Cutter
- TLP012 – missing Live Cross Track Feed from isolation form
- TLP013 -Tripping of OLE
- TLP014 – Authorisation of On-Tracking prior to issue of Form C
- TLP015 – Dumper struck lintel
- TLP016 – Damage to vehicles from falling ballast
- TLP017 – Combisafe
- TLP018 – Unapproved move of piling rig
- TLP019 – ST Cable Cut
- TLP020 – Fall from Height
- TLP021 – Polythene removal from OHL
- TLP022 – Tamper movement
- TLP023 – Crushed hand from Piling
- TLP024 – Boat Skip
- TLP025 – ST Cable Cut
- TLP026 – Undermined Trackbed
- TLP027 – Rivet Head Removal
- TLP028 – Grinder Foot Injury
- TLP029 – Rebar Bending Machine
- TLP030 – Scaffold Overturn
- TLP031 – Destabilised Wall
- TLP032 – Failure of Lifting Strop
- TLP033 – Hoarding Blew onto Track
- TLP034 – Arch Structure Damage
- TLP035 – Possession Irregularity
- TLP036 – Fire Alarm Activation
- TLP037 – Working at Height
- TLP038 – Damage to Train traction equipment
- TLP039 – Lindapter Clamp Testing
- TLP040 – Acoustic Panel
- TLP041 – Unauthorised Removal of Temporary Works
- TLP042 – Paraslim – Potential Fall from Height
- TLP043 – Lifting Operation Failure
- TLP044 – Access Permanently Closed Putting Staff at Risk
- TLP045 – Bridge Deck Collapse
- TLP046 – Potential to Strike and Damage an Underground HV Cable
- TLP047 – Earthing on Viaduct Structures
- TLP048 – Bomag Roller Overturn
- TLP049 – Incorrectly Placed Possession Equipment
Share With…
Throughout Network Rail in recent times a number of Share With Pride, or Share With Pain documents have been produced. These documents have been produced in order to share the learning from events either good or bad throughout local human networks.
We would like to share these with the Safety Central community as a further way to share this learning.
NB These documents have been produced at a local level, and should be used as guidance or information and not as Formal Learning from Investigations.
- Share With Pain – Con rail incident July 15
- Share with Pain – Radlett Rail Shoes June 14
- Share with Pain – Shalford Sept 14
- Share with Pain – Signalling recoveries Dec 14
- Share With Pain – Watford over-run
- Share With Pride – Alderton Access
- Share with Pride – Aldwarke
- Share with Pride – AmeyCOLAS Trainee Engineers Scheme
- Share With Pride – Colchester Package 1
- Share with Pride – EES Share with Pride – Fatigue Management
- Share With Pride – Huyton and Roby Sept 14
- Share With Pride – Invasive Injurious Plants July 14
- Share with Pride – IP Track Safety and Assurance Team voluntary email code
- Share With Pride – Jason Olds
- Share with Pride – RSS Fencing Sept 14
- Share with Pride – Scrap Recovery Best Practice Jan 15
- Share with Pride – Sleepers Sept 14
- Share with Pride – Working at height during the removal of redundant assets final Oct 14
- Share with Pride TSA Scrap Rail Oct 14
SNE event learning
Sharing our Lessons Learned is vital if we want to improve our safety performance across both our own organisation and the wider rail industry.
These event learning guides highlight specific issues encountered on-site, as well as demonstrating appropriate action to help individuals and teams learn from past behaviours and challenge unsafe practices.
if you have any questions on any of the events please contact S&SDSNE@networkrail.co.uk
- SNE Lesson Learned 001 – Protection for laying trough
- SNE Lesson Learned 002 – Bridge Strike
- SNE Lesson Learned 003 – Protection for Ballast works
- SNE Lesson Learned 004 – Demolition of station canopy
- SNE Lesson Learned 005 – Manual handling redundent rail
- SNE Lesson Learned 007 – Manual handling crane pad
- SNE Lesson Learned 008 – Unsafe Scaffolding
- SNE Lesson Learned 009 – Banksman Duties
- SNE Lesson Learned 010 – Unsuitable cabin steps
- SNE Lesson Learned 011 – Siltation of watercourse
- SNE Lesson Learned 012 – Poorly Maintained Tools
- SNE Lesson Learned 013 – Unloading Materials
- SNE Lesson Learned 014 – Piling Operations
- SNE Lesson Learned 015 – OLE bond removed
- SNE Lesson Learned 016 – RRV damage TCI
- SNE Lesson Learned 017 – Rivet busting
- SNE Lesson Learned 018 – Vehicle Safety Bar Injury
- SNE Lesson Learned 019 – Use of Tools Angle Grinder
- SNE Lesson Learned 020 – Offloading Sleepers RIDDOR reportable injury
- SNE Lesson Learned 021 – agricultural use at LX
- SNE Lesson Learned 022 – changing underfoot conditions
- SNE Lesson Learned 023 – Overturned dumper
